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Home My WebLink AboutPermit Building 2004-01-02Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-01155ISSUED: 0110212004APPLIED: 11/1812003 EXPIRES: 09/0512004VALUE: $ 53,454.00 SITE ADDRESS: 2785 3RD ST ASSESSOR'S PARCEL NO.: 1703233404900 PROJECT DESCRIPTION: Addition to existing SFR Owner: MICHAEL OSWALT Address: 2785 3RD ST SPRINGFIELD OR 97477 Contractor Type General Electrical Plumbing Springlield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PhoneNumber: 541-683-9309 Contractor License DAVIS BROS GENERAL CONTRACTORS IN63275 EASTSIDE ELECTRIC INC II777O JOHNS PRECISION PLUMBING LLC 158279 Expiration Date 0313112004 10t04t2005 0u13t2006 Phone 541-683-9309 541-915-9828 s41-736-8690 ]TOR INFORMATION )RMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # ofStories: 1 Height of Structure 13.00 Type of Heat: Wall Heat Water Type: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 vn \SE: H0 s90 Range ORK 1 HEv'l \S N01 Path I 1 01 SH NtL ru1 BO Dh\ 17.90 39.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Urban Fringe 27.50 Utrltty REQUIRED PARIflNG Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Storm Pase 1 of4 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01155ISSUED: 0110212004APPLIED: 11/1812003 EXPIRES: 09/0512004VALUE: $ 53,454.00 Description Dwellines Type of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $90.60 590.00 Total Value of Project Amount Paid Date Paid Value $53,454.00 $53,454.00 Date Calculated I 1/18/2003 Fee Description Plan Review Residential + l0Yo Administrative Fee + 7Yo State Surcharge Building Permit Dryer Vent Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area -Mechanical Issuance Fee- + l0%o Administrative Fee + 7o/o State Surcharge Perm Serv/Fdr 200 amps or less + l0Yo Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Ea Add Total Amount Paid Receipt Number 1200200000000002486 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 r200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000089 r200400000000000212 1200400000000000212 1200400000000000212 1200400000000000280 1200400000000000280 1200400000000000280 $2sr.06 $47.63 $33.34 $386.2s $6.00 $28.00 $39.00 $17.00 $59.00 $10.8s $2t7.07 $10.00 $r2.60 $8.82 $126.00 $2.40 $1.68 $24.00 11/r8/03 u2t04 t/2t04 U2t04 u2t04 u2t04 u2t04 U2t04 u2t04 u2t04 u2t04 u2u04 2n7t04 2lt7l04 2n7t04 3tst04 3tst04 3t5t04 $1,280.70 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review tut9t2003 tut9t2003 tut9t2003 tut9t2003 12t09t2003 tu2512003 APP APP APP LLH TAJ VRJ Storm drainage to existing Pase2 of4 Valuation Descrintion I F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Frx 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-01155ISSUED: 0110212004APPLIED: 11/1812003EXPIRES: 09/0512004VALIIE: $ 53,454.00 Structural Review Structural Review tut9t2003 12n2t2003 wE DLM 12t30t2003 12t30t2003 APP DLM Contacted engineer for clarification on footin g design.l2 I 12 I 2003. Resolved same day. Investigating septic system interface il County. Need enough land for reserve septic drain field (No sewer within 300 ft.of property. Called contractor, left message for them to provide accurate location for existing septic drain lines to this officel2ll2l2003. dlm Applicant submitted Sanitation Authorization Notice from Lane Co. verifying limited reserve area for repair, specifying alternative system (sand filter?) may be necessary if system fails. Authorized by Sanitarian to issue permit. See documents for plan review comments. To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 8 Footing: After trenches are excavated. 9 Foundation: After forms are erected but prior to concrete placement. 11 Post and Beam: Prior to floor insulation or decking. 7 Floor Insulation: Prior to decking. 13 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 14 Wall Insulation: Prior to cover. 4 Ceiling Insulation: Prior to cover. 5 Drywall: Prior to taping. I Final Building: After all required inspections have been requested and approved and the building is complete. 12 Rough Plumbing: Prior to cover and including required testing. 3 Final Plumbing: When all plumbing work is complete. 2 Final Mechanical: When all mechanical work is complete. 6 Electric Service: Approval required prior to utility company energizing service. 15 Rough Electric: Prior to Cover 16 Final Electric: When all electrical work is complete. Page 3 of4 Reouired InsDecfions I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-01155ISSUED: 0110212004APPLIED: 11/1812003EXPIRES: 09/0512004VALUE: $ 53,454.00 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfiel.t Official Receipt Development Services Department Public Works Department Recelpt #: 1200400000000000280 Date:03/0520M 10:5{:34AM coM2003-01155 coM2003-01155 coM2003-01155 Add, Alter, Extend Circ Ea Add + 7%o Slate Surcharge + l0%o Administrative Fee 24.00 1.68 2.40 Item Total:$28.08 TypeofPayment PaidBy Received By Batch Number Authorization Number How Received Amount Paid CreditCard ROGERKING djb 0003 16 005292 In Person Payment Total: $28.08 $28.08 225FIFTHSTREET . SPRINGFIELD, OR97477 o PH:(541)726'3753 tF. E LECTRT CAL P ERMIT APP LICATI ON City Job Number t,',t Z6lc) S - L1 ll f{ Date oZtT oc( 1. )7 6s N, 3e2 sP€08 LEGAL DESCRIPTION i7o'32=3Ll R€slo€H'r tlt. - ADDIrtoN o Q f oe Date Authorized Signature Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601Amps to 1000 AmPs Over 1000 AmpsA/olts Reconnect Only Installation, Alteration or Relocation 200 Amps or less 201 Amps-to 400 AmPs 401 Amps to 600 Amps Over 600 or 1000 V, as submitted has the tollowing not require specific land use ll) $106.00 s 19.00 $50.00 JOB DESCRIPTION Zoo 7o-vc3 Cz.) Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 7 Electrical Contractor eAs e (. Address 36J5.1 Bos(A66 CAft6 City 5? Ft0 Phone 7V /- /Yr1 Supervisor License Number v7)7s Expiration Date )o -o t - ov Constr. Contr. Number It )770 A. clC B. c. D. E. $ 63.00 $ 7s.00 $ 125.00 $163.00 $37s.00 $ 50.00 / ) 6,oti Expiration Date o-o i-avI $ s0.00 s 69.00 ,I.go.pgE 3$dfiaa 3Clr0s 43.00' s s0.00 $ s0.00 $ 25.00 s 45.00 Signature of Supervising Electrician Owners Name Address il ,h*-'( Du*tl- Each Additional Circuit or with Service or Feeder Perrnit S 3'00 Z7 ig 3et -+ New One Circuit Pump or irrigation Sign/Outline are TOTAL City 5 P.+-N Phone Inspection Fee is $45.00 * Surcharges IZG n 862 Fee I Lbo tLt79 Inspection Request: 726-3769 Shared Drive(T:/Btrilding Fonns/Electrical Pennit Application l-03'doc J. OWNERINSTALLATION The instailation is being made is not intended for saie, lease Owners Signature: \aw by as submitted has the following not rsquire specific land use 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726'3753 oF E LECTRICAL P ERMIT AP P LICATI ON City Job Number O3 - OUSf Date O3o toLl 1. Date 3. z7 89 3e :# A.LEGALDESCzuPTIONlaojz33q oqVr- JOB DESCRIPTION ,{ss e c,',z-.-..f;+,,Our,^n\ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 1 Electrical Contractor eA 575 iDe e €c.rR IC Address 38JS l Bo56A 66 CAN6 City S? FCO Phone 7V /-iYtl Supervisor License Number v7)7 s Expiration Date )o-ot - oLl B. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 AmPs 401Amps to 600 AmPs 601Amps to 1000 AmPs Over 1000 Amps/V'olts Reconnect Only s106.00 s 19.00 s50.00 s 63.00 $ 75.00 $125.00 $163.00 - $37s.00 s 50.00 s s0.00 s 69.00 $ r00.00 s 43.00 s 3.00 7u C. Constr. Conr. Number I 7 *c)-0vExpiration Date Signature of Supervising Electrician \o\\ a logo Owners Name , rh&G,yA\F >f E. Each Additional Circuit or with q:. Service or Feeder Perrnit '; Pump or 'TYoState Surcharge l0% Administrative Fee TOTAL $ a6{ 3 s 50.00 s s0.00 s 25.00 ommercial s 45.00 Permit Inspection Fee is $45.00 * Surcharges N'City Phone OWNERINST The installation is being made on property I is not intended for sale, lease or rent. Owners Signature: $\1 Dh\Z e Inspection Request: 726'37 69 \s0 Shared Drive(T:/Building Forms/El ectrical Permit Appl ication 1'03'doc Tanina _ &1 \r,9 "8" above. Extension Per Panel \ ( 1 . jrlrlirlcANT t c.'-' .") I,Y .,!'lD i' Llu,ritFi' f," S COPY SANITATION AUTHORI ZATION NOTICE FOR SP037489 Permit Sub-Type: AUTH Application Date: l2ll7 12003 Proposed activity: AUTHORIZATION TO ADD LIVING ROOM TO HOUSE JobAddress: 2785 3RD ST SPR L*=*,,, /$ t\ Applicant: OSWALT MICHAEL 2785 N 3RD ST SPRINGFIELD OR 97477 Parcel #z 17 -03-23-34-04900 Owner: OSWALT MICHAEL K & VICKI A 2785 N 3RD ST SPRINGFIELD OR 97477 Discussion: Setbacks met per site plan. Limited space for repair May require alternative system if failure occurs. No increase in flow design. No septic records on file Authorized?: Y Y: Yes N:No Inspection By: jm Inspection Date: 1212212003 Inspector Date:/z'72: 9 HILL& DALE ENC,INEERIN6, LLC 74 EAST 18TH AVE N U E, 5U ITE #' EU6ENE, ORE6ON 97401 $4i 868-0667 FAX: 641) 868-0888 Pagez tlf Date: llllll03 Client: Davis Brothers 570 Lawrence Eugene, OR 97401 Contact: Kevin Davis Job Location: 2785 N.3'u, Springfield Job Description: Addition Structural Job Number: 503-03 Design Criteria: -OSSC'98'and ODSC'03' -80 mph wind -Exposure B -Zone3lDl -Floor Dead Load:lOpsf -Floor Live Load:40psf -Roof Dead Load:l5psf -RoofSnow Load=25psf -i500 psfsoil bearing pressure for design *Trusses by others. EXPIR.AT]0il DATE:6t301cr 'l,,los HILL&DALE EN6INEERII , LLC 74 EAST lBTH AVENUE, 5UITE#5 EU6ENE, OREC,ON 97401 $4D 868-0667 FAX: (541) 868-0888 CLIENT Dil," . = P-, SHEET NO. CALCULATEO BY OF DATE JO8 #,9c3-c: Urz-rl c -At r -r.-.f cS usqzs?c) -- soV** A=,o1 v.- i&or1 /;, lVr* looo'J{* T, ,u ''72 i+ 1Z-sa .l.ta /bu3"!J\(J /7.57 u-4 ft : Wg ($A* rr) ---?7 ;*;i"' S =/pgqLrD/zta -- t?'s1 ;1 *r: ISC+d) '- l"oo-t {r A 7"lg' ,/ ' g*bo,lt lvl'* L,{3oaJA(F I)5 " Y7{'tr;1 ft -swoGy4a1)= Jb,?7;. t -- zysoour.)arrt : trbS, U*;t I @%r* - /'4K (tr'z W*;?tfl$.l" ZV u xZ(" x /2" APAre-ci ot-@ FoqNrATldA) $Lttt u/,|-LL = @ " *F r*arr N G z' T *LLSr E/^ 4x/0 e PorctN ---?=-4vr p, llf?-s HILL&DALE EN6INEERII' , LLC 74 EAST 18TH AVENUE, SUITE#5 EU6ENE, ORE6ON 97401 (r41) B68-0667 FAX: 641) 868-0888 CLIENT SHEET NO. CALCULATED BY OF DATE JOB #'A\-63 \.\l ,t\Q"* ETQ- B ^ fD /n'frtYJi'.', -edil& 3/At - Ptrct <-9; /z ?,5, 3,. ?, | fiSt- WNt[i rsr hjl-l,t) t,H=r kY#2") eF iS t\/\t L i V* 3#^ u*t - $Et'$j u) n , /9 {c t"kJ t Ve c-*aruaao Ve- - Fb(i[h.\]&-L t \/l J- v4* "'l <_v, I ZI -V, t Ue ,\lo c$ArJ+e zt' Aoornoru 3o' t r Zt' ,- (/) I fu:r-prr-ru| otr1r S- F*+sLLud+ Pu,lb,+ u)i-,ul;gg1, I Ex/6fJNc- HILL& DALE EN6INEERI. ,, LLC 74 T.A5T lBTH AVEI.IUE, SUITE#5 EU6ENE, OREC,ON 97401 $4D 868-0667 FAX: $41) 868-0888 CLIENT SHEET NO. CALCULATEO BY OF DATE JOB #60 5-O 3 Vt : :leN\rPAtp-T qt-o-l,<e'o rto ruoO' A-tr'kJ{ *'fi-.E6. LAT wAL (*L.S 1/- : N\A LtI+-t\G-E- l-C e.r isT.rNcr A\5 f?-E-r/r sto{..\ KE-&, tro(- LAr, A.,: *ct- -- Q r + ,sY4) '- Srl {+ " *rrooo = /? (e,S\ = (20[-t-' Ve/* = s(+(z.trs,t) r b0.L"o.ttt,t)= 13 Uio = bG)(zr) n ro @)G) = Z?laiy LSJJ 1- U s = 221 o t i,71f) : 2*7# .a, =st2/o' 8/* <) e/r * t\ffi t/6 - tr94h oryn= ?sg6)Cr) -:+ffi&tF Vetn :+t *0 F*[stD rS tti r t{tr uA C)U E G o 6(-Iu\EL tO EI*N,A/LOfir=:Lt{Bo S No eoo,4Nc*{. Aee. K rvt'- V, I t s <z)3\% s) + / 6 Lr\t)<,sl / : g[rrqffi, Ugt-t Ft_--;9d1*t t \/, L*LCS A^or-=?C4)-- Suf,l" A^or -- lq G,S) = b?l*. V -- b,- (8, I +s ,l) o u?(3 |/\Jo -- zt usYs) + DOr)Ls l/s - 39uoq, /9U)= Tb 'l--!s ,1t7, t) = ll5? U ) - B? ao-t"^ <_ 4t ' tt7%,?r(?)r i,Li()'- fi)^k Ao=5t{)=Zo{+- (=6'' LLL=?' f-- /7+ -? ,+1 V. lrES-tA JJ --lts%Z= 1?'1{- DTTvL-- r/ r,;Cr') =q*u hlAk ILvL* 7a( t*zYJz)"Ls) +/oL4Jz)'Ls)'/ * Szrol4f 11"? t-l FT :l rlb #s*-$o - en 0A .e) HILL& DALE EN6INEERII ., LLC 74 EAST 1 8,, AVE N U E, SUITE #5 EU6ENE, OREC,ON 97401 641) 868-0667 FAX: $40 868-0888 L;CLIENT SHEET ..\ OF CALCULATED BY JOB # DATE v.ivz,ffiflffi No A-O0, *rJc*;,/leg. I t c tu(-cS A.o*ur--= I 3L+) rB,S US)CS) =[ tu{} - (rlo -- tZSU>)(uS\ + ro(ao[&) = uur ? L\ us = Loca t 1c0*) :bTrrr# 4z-- '\'YZ3+L6*Z = /+zY{+ Ao = eLt,S)(A - lAlt- l-V, LL;=y, l-- ryt F-- ,bq V = l?Z+"!-L-O2*,rrYr*/o7i4t OTAA" -- t1 Z+ (t) = tS fr Z,!J(f /.m= Vt { tiCz,s}(t tr) A,s} + t6(?),"rt) {,s) 7 * & ?J-14}- UPt-tFI= tr1e{+, 43-- tt)ZZT-- b€%rv 611/L-- rr 3 s( 7) -- ftrc${t /-w--,/ t i ls tt t)( t Z s1 Z, S) * t o (xYt 7,$) A,s ) 7 = Z sot 6 /^ /,r Truss t[ ,RE-B Qty: 3 Drweli COU o5zl Iob Narne: P'.-rW X-ICC RBCT SIZE . o- 2-L2 1!.10 5.50" 1 BIiG 1 20- 9- 4 l-rto 5.50" I-.50', rc 2..4 tFt Slil ;.i FL iiihTNts N TTL SBN}TII) rIIgS \EJIXS FER ICM RESMRCH RMRT fl150? Lod:d fcn- 10 IEF l:m-qxnrrret. El,. Platirs sE : PDISIfl?I - 1995 nrrs cfurtll rs rrtE to4rerrc REsu.lP oF MI.iI'IIIE I.GD @SES. BBRIM RECL iFE4A.IIS slm are lEEed cNLv an tle tre natrjal at eadl bearjrg. PI?{NNS BASD CN GREEN LI,I\tsER \AIIXS. UHTIIT FEACTICN(S) :S:mt. 1 -260 Ibsriiat 2 -25o ]bftiE tilEs j€ &igned usirg tte L,E Gde.B[& Elcleed = Ye f:r.rEs lefim = Iit:t Erd ZnEI{lriqe/oe*r Lire = I\b , Dq) GfegEy - c BI& lsqth = 50.00 ft, Blds Wi&h = 20.00 ft I'bEfr r6f teictt = g.91 fE, nrh - 80 trc ps€stjal-Fbcj-f-iEy, Ead LEad - rz'o IFf rc 2-3 3-4 4-5 FTRCE -1953 -1456 -].455 -1953 LB FCT€E CSI2-A -517 .243-8 599 .26 REQ'D .50" t^El FTXCE CII 4-8 -5ll .24 25" NG END CSI.06 .2A .34.o2 .27 .29.o2 .2'1 .29.06 .28 .34 A)fu ETD CSI.30.23.53.fo .1'7 .67.30 .37 .67 E 6-"1 7-8 8-9 FCRCE 1814 1814 1814 Iru( IEFLEtrTICN (+:rr) : Vggg nq I,EM 6-7 (LrvE) IF -.15" E -.l0tr T! ? 3 4 5 0-0-o 5-10- 5 10- 6- 0 15- 1-112l- 0- 0 /Ot'.. MOSHOFSIfflwrTRuss Trussal Systenls . (:!rk'Eld\1 411.i Nrrtlpark Dr.. (I'lc s^Prirts. CO SU')07 Joirt. Ictiqs =====5 0-o-07 8-O-08 10-6-09 21-0-0 s-10-5 4-7-ll 5- I 0-5 r 0-6-0 4-1 -tt r5-t-11 s-10-5 2 I -0-0 9 r0-6-0 2r-0-0 1 5 r..*;;r 3-s 1.5-4 . 2-{)-0 6 78 l0-6-0 10-6-0 tems Plates are 20 ga trnless sirown by n1s'(18 9a. ) , ga or "MX" (TWMX 20 ga itioned per Joint RePort .5-4 T 3-9-15 Trrr swa,'u,, (1G CircI e 4-s-11 B N o c1 2t2t t2002 scal€! 3/15" - 1' 4-4 SHIP T0-3-15 tA E F2=04- IS ), poe I l zist leoo 3Expir WO: PRE2 CusEffir Nares PRE.W TBF: 44.0 Chlc DEgEr! WI:109 # *Lc = 10 DrFacs L-1 . 15 P=1.15 Rep Mbr Bnd 1.15 O.C.Spacirgr 2- 0- 0 Deaign Sp€c lrBC Efl RaEio: U24o lc. U24o TC IJiw TC Dead BC Llw BC Dead 25.00 paf 7.00 pef .00 paf 10.00 pof 42.00 pafIIsTAI,1t)5.0 verEion T6.2.10 false fr sih T City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-126-3676 Fax October 12,2004 OSWALT 2785 3RD ST SPRINGFIELD Job Number: Location: MICHAEL oR 97477 coM2003-01155 2785 3RD ST Project:Addition to existing SFR Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at2785 3RD ST which is set to expire on 111712004. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790 Sincerely, Lisa Hopper Building Safety Supervisor Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01155ISSUED: 0110212004APPLIED: 11/1812003 EXPIRESz 0811712004VALUE: $ 53,454.00 SITE ADDRESS: 2785 3RD ST ASSESSOR'S PARCEL NO.: 1703233404900 PROJECT DESCRIPTION: Addition to existing SFR Owner: MICHAEL OSWALT Address: 2785 3RD ST SPRINGFIELD OR 97477 Contractor Type General Electrical Plumbing Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PhoneNumber: 541-683-9309 Contractor License DAVIS BROS GENERAL CONTRACTORS IN63275 EASTSIDE ELECTRIC INC II777O JOHNS PRECISION PLUMBING LLC 158279 Expiration Date 03t3u2004 t0t04t2005 0u13t2006 Phone 541-683-9309 541-915-9828 s41-736-8690 BUILDINC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Street Storm Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: I 13.00 Wall Heat Path I Urban Fringe 27.50 Sidewalk Type: Downspouts/Drains: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 VN s90 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: ie 'l NOTICE: inri prCnlttT sHALL ExPIRE lF THE lvonK Iui-HONIZTO UNDER THIS PERMIT IS NOT CorvrrrrnrcED 0R ls ABANDoNED FoR ANY 180 DAY PERIOD. DEVELOPMENT INFORMATION Storm drainage to existing Page 1 of3 FIE Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01155ISSUED: 0110212004APPLIED: 11/1812003 EXPIRESz 0811712004VALUE: $ 53,454.00 Description Dwellinss Type of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $90.60 590.00 Total Value of Project Amount Paid Date Paid Value $53,454.00 $53,454.00 Date Calculated tut8t2003 Fee Description Plan Review Residential + l0Yo Administrative Fee + 77o State Surcharge Building Permit Dryer Vent Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area -Mechanical Issuance Fee- + l0%o Administrative Fee + 77o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid $251.06 $47.63 $33.34 $386.25 $6.00 $28.00 $39.00 $17.00 $s9.00 $10.85 s2t7.07 $10.00 $12.60 $8.82 $126.00 $1,252.62 11/18/03 u2104 u2t04 U2t04 U2t04 u2t04 U2t04 U2t04 u2104 u2t04 y2104 uzil04 2n7t04 2fl7t04 2n7t04 Receipt Number 1200200000000002486 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000089 1200400000000000212 1200400000000000212 1200400000000000212 Fpps Pcid Plan Reviews Initial Review Plannins Review Public Works Review Structural Review tUt9t2003 tutgt2003 tutgt2003 tut9t2003 tutgt2003 12t09t2003 tu25t2003 12fiz12003 LLH TAJ VRJ DLM APP APP APP WE Storm drainage to existing Contacted engineer for clarilication on footing design.l2l12l2003. Resolved same day. Investigating septic system interface il County. Need enough land for reserve septic drain field (No sewer within 300 ft.of property. Called contractor, left message for them to provide accurate location for existing septic drain lines to this officel2ll2l2003. dlm Pase 2 of3 Yaluation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01155ISSUED: 0110212004APPLIED: 11/1812003 EXPIRESz 0811712004VALUE: $ 53,454.00 Structural Review 12t30t2003 12t30t2003 APP DLM Applicant submitted Sanitation Authorization Notice from Lane Co. verifying limited reserve area for repair, specifying alternative system (sand filter?) may be necessary if system fails. Authorized by Sanitarian to issue permit. See documents for plan review comments. To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 7 Footing: After trenches are excavated. 8 Foundation: After forms are erected but prior to concrete placement. 10 Post and Beam: Prior to floor insulation or decking. 6 Floor Insulation: Prior to decking. 12 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 13 Wall Insulation: Prior to cover. 4 Ceiling Insulation: Prior to cover. 5 Drywall: Prior to taping. I Final Building: After all required inspections have been requested and approved and the building is complete. 11 Rough Plumbing: Prior to cover and including required testing. 3 Final Plumbing: When all plumbing work is complete. 2 Final Mechanical: When all mechanical work is complete. 14 Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Page 3 of 3 Date Keourreo InsDecUons I 225'fifth Street Springfield, Oregon 97 477 541-726-3759 Phone /.::15 City of Springlield Ofiicial Receipt Development Services Department Public Works Department Receipt #: 1200400000000000212 Date: 0211712004 1:07:12PM coM2003-01155 coM2003-01155 coM2003-01155 Perm ServiFdr 200 amps or less + 7%o State Surcharge + lloh Administrative Fee 126.00 8.82 12.60 $147.42Item Total: Type of Peyment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard ROGERKING djb 000300 017881 In Person Payment Total: $147.42 s147.42 CITY OF OREGON SPF|I IELI, D EV ELO P M ENT S ERV IC ES D E PARTM E NT Lisa Hopper Building Safety Supervisor Kaye Wilson Don Moore Encl ?fr,225 FIFTH STREET SPBINGFIELD, OR 97477 (541) 726-3753 .FAX (s41) 726-s689 vvww. ci. s p ri n gf ie ld. o r. u s January 72,2004 Davis Brothers P.O. Box 70032 Eugene, Oregon 9740I Dear Mr. Davis On January 2,2004 our office issued permits for an addition to an existing single family residence to you to be locate d, at 2785 3'd Street, Springfield, Oregon. While calculating the fees for that permit, the plan reviewer neglected to include the Mechanical Issuance fee of $10.00, leaving a balance due of $10.00 for this project. I am enclosing a copy of the permit that was issued and a copy of the original receipt for your reference. Please pay the amount due prior to requesting your final inspections for this project. I have enclosed a prestamped envelope for your convenience if you wish to make payment by mail, or you are welcome to make payment in person at our office. Our office hours are 8:00 a.m. - noon and from 1:00 p.m. - 3:00 p.m. Monday through Friday. I sincerely apologize for any inconvenience this may cause you. If you have any questions, please feel free to contact either David Bowlsby at736-1029, or myself at726-3790. Sincerely cc 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works I)epartment, , Receipt #: 1200400000000000089 Date: 0112112004 3:10:39PM coM2003-01155 -Mechanical Issuance Fee-10.00 Item Total:$10.00 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check DAVIS BROTHERS lkw 2980 In Person Payment Total: s10.00 $10.00 s ANr rrAr I oN-tHS? yr.?t I o N N o r I c E 1-I*am* Permit Sub-Type: AUTH Application Date: l2ll7 12003 Proposed activity: AUTHORIZATION TO ADD LIVING ROOM TO HOUSE Job Address: 2785 3RD ST SPR Applicant: OSWALT MICHAEL 2785 N 3RD ST SPRINGFIELD OR 97477 Parcel #: 17 -03-23-34-04900 Owner: OSWALT MICHAEL K & VICKI A 2785 N 3RD ST SPRINGFIELD OR 97477 Discussion: Setbacks met per site plan. Limited space for repair May require alternative system if failure occurs. No increase in flow design. No septic records on file. Authorized?: Y Y: Yes N: NO Inspection By: jm Inspection Date: 1212212003 Inspector Date:/z-72-> {,}IfLICANT'. fl'.WY APi'LTCA.N'["S COPY Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-01155ISSUED: 0110212004APPLIED: 11/1812003 EXPIRESz 0710212004VALUE: $ 53,454.00 SITE ADDRESS: 2785 3RD ST ASSESSOR'SPARCELNO.: 1703233404900 PROJECT DESCRIPTION: Addition to existing SFR Owner: MICHAEL OSWALT Address: 2785 3RD ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PhoneNumber: 541-683-9309 Contractor Type General Electrical Plumbing Contractor License DAVIS BROS GENERAL CONTRACTORS IN63275 EASTSIDE ELECTRIC INC II777O PRECISION PLUMBING INC 116028 Expiration Date 03t3U2004 10t04t2005 0110812004 Phone 541-683-9309 541-915-9828 (s41)736-8690 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Overlay # Street Paved "h of Lot Sidewalk Type: Downspouts/Drains: R-3 I 13.00 Wall Heat Lot Size: st Floor: FIoor: 590 VN Area: PARKING Total: Handicapped: Compact: Notes: Storm drainage to existing Paee 1 of3 trutrJf,ll\(J rl\r (rr(lYlA I l(rt\ | -SETBACKS Frontyard Setback:Side Side I ) 39.00 0.00 Rearyard Setbacks:Solar Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01155ISSUED: 0110212004APPLIED: 11/1812003 EXPIRES:. 0710212004VALUE: $ 53,454.00 Description Dwellinss Tvpe of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $90.60 s90.00 Total Value of Project Amount Paid Date Paid Value $53,454.00 s53,454.00 Date Calculated rUt8t2003 Fee Description Plan Review Residential + l0o/o Administrative Fee + 7%o State Surcharge Building Permit Dryer Vent Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid $2s1.06 $47.63 $33.34 $386.25 $6.00 $28.00 $39.00 $17.00 $59.00 $10.85 $217.07 $1,095.20 11/18/03 U2t04 u2104 u2t04 u2t04 u2t04 U2104 u2t04 U2t04 u2t04 u2t04 Receipt Number 1200200000000002486 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 1200400000000000004 Plan Initial Review Planning Review Public Works Review Structural Review tu19t2003 tut9t2003 tut9t2003 tutgt2003 tutgt2003 12t09t2003 1u2512003 12n2t2003 LLH TAJ VRJ DLM APP APP APP WE Storm drainage to existing Contacted engineer for clarification on footing design.l2 I 12 I 2003. Resolved same day. Investigating septic system interface w/ County. Need enough land for reserve septic drain lield (No sewer within 300 ft.of property. Called contractor, left message for them to provide accurate location for existing septic drain lines to this office 1211212003. dlm Paee 2 of3 Valuation Descrintion I Fees l,aro I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-01155ISSUED: 0110212004APPLIED: 11/1812003 EXPIRESz 0710212004VALUE: $ 53,454.00 Structural Review 12t3012003 12t3012003 APP DLM Applicant submitted Sanitation Authorization Notice from Lane Co. verifying limited reserve area for repair, specifying alternative system (sand filter?) may be necessary if system fails. Authorized by Sanitarian to issue permit. See documents for plan review comments. To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I 2 3 4 5 6 7 8 9 10 11 t2 13 Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Final Mechanical: When all mechanical work is complete. By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. /-drl Owner or Contractors Signature Page 3 of3 Date Z- l(eourreo lnspecuons I CITY OF SPRINGFIELD SYSTEMS DEVELOPMENI ,JORKSHEET JOURNAL OR JOB NUMBER: Com2003-01155 NAME OR COMPANY Mike Oswalt LOCATIONT 2785 #rd Street TAX LOTNUMBER:17032334 tl 4900 DEVELOPMENTryPE SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE I. STORM DRAINAGE DIRECTRUNOFF TO CIry STORM SYSTEM 0 COST PER S.F s0.290 COST PER S.F $0.290 COST PER DFU $22.64 COST PER DFU s17.21 NUMBER OF UNITS 0 NUMBER OF UNITS 0 ADM, FEE RATE 5% CHARGE $217.07 DISCOLTNT RATE 50% $217.07 LOT SrZE (SF) DISCOLINT $o.oo IMPERVIOUS S.F 0.00 NUMBEROF DFU's 0 B. IMPROVEMENT COST: NUMBER OF DFU'S 0 ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.s7 SUBTOTAL $21'7.07 I IMPERVIoT.JS s,F. x | 748.50 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS x x x x x x x x x ITEM I TOTAL - STOR}{ DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC $0.00 A. REIMBURSEMENT COST: xx xx COST PER TRIP s17.23 COST PER TRIP s76.01 $0.00 NEWTzuP FACTOR 1.00 NEWTRIP FACTOR 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: $0.00 s2t7.07 CHARGE $ r0.85 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TATION nia Jurasevich ry25t2003 COSTPER FEU s314.63 $217.07 $0.00 $0.00 $0.00 $0.00 $0.00 1 $227.92 1070 1091 1092 1093 1094 1054 1055 1054 1056 a E] t-.1oU &r!Fa rr.l& COST PER FEU s214.23 PREPARED BY DATE FEE: TOTAL SDC CHARGES DRAINAGE FIXTURE UNIT CALCULATION TABLE NTJMBER OFNEW FXTURES x UNIT EQI.]TVALENT: DRAINAGE FXTURE LNITS FOR CALCULATE ONLY TIIE NET ADDITIONAL NO. OF FIXTURES UNIT FIXTURE ryPE NEW OLD ALENT MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS rsa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE LINITS 0 +EDU BATHTUB 0 0 3 0 1 0DRINKING FOUNTAIN 0 0 0 0 3 0FLOOR DRAIN INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 0 6 0INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 0 2 0LAL]NDRY TUB CLOTHESWASHER / MOP SINK 0 0 3 0 0 6 0CLOTHESWASHER - 3 OR MORE (EA)0 0 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 I 0 0 3 0RECEPTOR FOR COM. SINK / DISHWASHER / ETC 0 0 0 2 0SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 0 0 3 0SINK: COMMERCIAL/RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR 0 0 2 0 0 2 0SINK: WASH BASIN/DOUBLE LAVATORY 0 0 0 1 0SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0URINAL, STALL / WALL 0 0 5 0 0 6 0TOILET, PUBLIC INSTALLATION 0 0 3 0TOILET, PRIVATE IN STALLATION 0 YEAR ANNEXED CREDIT RATE/S1,OOO ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 0 0 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE/ 1OOO s0.00 CREDITRATE s5.04x CREDIT FOR IMPROVEMENT OF AFTER ANNEXATION) VALUE / 1OOO CREDIT RATE $0.00 x $5.04 TOTAL MWMC CREDIT BEFORE I979 $5.M 1979 $5.04 1980 $4.95 l98l $4.88 1982 $4.75 1983 $4.58 1984 $4.41 t985 $4.20 1986 $3.88 1987 $3.50 1988 $3.07 l 989 $2.60 1990 $2. l4 t99l s l.7l t992 $ 1.52 1993 $ 1.38 t994 $1. l9 1995 $1.03 t996 $0.87 1997 $0.68 I 998 $0.46 1999 $0.27 2000 s0.09 2001 $0.04 l-$u-do- l-- l-:db- 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #: 1200400000000000004 Date: 0110212004 1:39:29PM coM2003-01155 coM2003-01155 coM2003-01155 coM2003-01155 coM2003-01155 coM2003-01155 coM2003-01155 coM2003-01155 coM2003-01155 coM2003-01155 Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review - Planning Building Permit Fixture Minimum/Adj ustment P lumbing Dryer Vent Minimum/Adj ustment Mechanical + 7%o State Surcharge + l0o/o Administrative Fee Item Total:$844.14 217.07 10.85 59.00 386.2s 28.00 17.00 6.00 39.00 33.34 47.63 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard KEVIN L DAVIS j..,p 000265 002783 In Person Payment Total: $844. l4 $844.14